Baraya, Edgar

Baraya, Edgar was paid $75K by Medicaid between Jan 2018 and Dec 2022, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.

33Billing provider infoBARAYA, EDGAR
BRONX, NY 10473

33aNPI1538131388assigned 02/06/2006

33bProvider typeInternal Medicine Physician

28Total paid$75K

24GClaims6,325

24DCodes billed23

24AFirst – last monthJan 2018 – Dec 2022

Compared with peers

Next to other Internal Medicine Physician providers in New York

Rank by total paid#1,438 of 6,049

Median peer was paid$11K

This provider vs. median6.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	718	$9K
2019	778	$13K
2020	1,266	$13K
2021	2,056	$21K
2022	1,507	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	87%	3,096	2,927	$65K
99490	Ccm add 20min	4.8%	372	370	$4K
99439		4.8%	312	306	$4K
90688		<1%	87	86	$690.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	90	90	$629.70
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15	12	$356.32
1160F		<1%	958	919	$355.54
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	<1%	12	12	$227.57
1159F		<1%	954	913	$181.02
90756		<1%	16	16	$166.20
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	<1%	55	55	$88.00
G0008	Administration of influenza virus vaccine	<1%	12	12	$21.42

11 more codes

G0444	Annual depression screening, 5 to 15 minutes	<1%	12	$10.84
1494F		0%	12	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	80	$0.00
3725F		0%	74	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	27	$0.00
3288F		0%	12	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	13	$0.00
1220F		0%	12	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	55	$0.00
1036F		0%	37	$0.00
1101F		0%	12	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.